| NPI | 1366488470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN RANDOLPH SWENSON Chief Executive Officer 702-839-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 11397) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |